Medicaid is a government-funded health insurance program that provides coverage for low-income individuals and families. Coverage varies from state to state, but most states provide some type of dental coverage for children under the age of 21. In North Carolina, Medicaid covers a wide range of dental services for children, including preventive care, such as cleanings and fluoride treatments, restorative care, such as fillings and crowns, and orthodontic care, such as braces. Some adults may also be eligible for Medicaid dental coverage, but eligibility is limited.
North Carolina Medicaid and Dental Coverage
Medicaid is a health insurance program that is jointly funded by the federal government and the state of North Carolina. It provides health coverage to low-income individuals and families, including children, pregnant women, seniors, and people with disabilities. Dental services are covered under Medicaid, but there are certain eligibility requirements that must be met.
Eligibility Requirements for Dental Coverage
To be eligible for dental coverage under Medicaid, you must meet the following requirements:
- Be a North Carolina resident.
- Be a U.S. citizen or a qualified non-citizen.
- Have an income that is at or below 138% of the federal poverty level (FPL).
- Be enrolled in Medicaid.
If you meet all of the above requirements, you will be eligible for dental coverage under Medicaid. The type of dental services that are covered will vary depending on your age and specific needs. However, all children enrolled in Medicaid are eligible for comprehensive dental care, including preventive services, such as cleanings and fluoride treatments, as well as restorative services, such as fillings and crowns.
Dental Coverage for Adults
Adults who are enrolled in Medicaid are eligible for a limited range of dental services. These services include:
- Emergency dental care
- Pain relief
- Infection control
- Restorative services (only if medically necessary)
Adults who need more extensive dental care may be able to get coverage through a Medicaid waiver program. Waiver programs are designed to provide additional services to people with special needs, such as people with disabilities or people who are living in nursing homes.
How to Apply for Dental Coverage
To apply for dental coverage under Medicaid, you can contact your local Medicaid office or visit the North Carolina Department of Health and Human Services website. You will need to provide proof of your income, residency, and citizenship or qualified non-citizen status. You will also need to provide a completed Medicaid application form.
Once your application is approved, you will be issued a Medicaid card. This card will allow you to receive dental services from participating dentists. You can find a list of participating dentists by calling your local Medicaid office or visiting the Medicaid website.
Table of Dental Services
Age | Covered Services |
---|---|
Children (0-20) | Comprehensive dental care, including preventive services and restorative services |
Adults (21+) | Emergency dental care, pain relief, infection control, and restorative services (only if medically necessary) |
Services Covered Under Dental Plans
Medicaid is a government-funded health insurance program that provides coverage to low-income individuals and families. In North Carolina, Medicaid covers a wide range of dental services, including preventive care, basic restorative care, and more complex procedures. The specific services covered vary depending on the individual’s age and needs.
Generally, preventive care services are covered for all Medicaid recipients. These services include regular checkups, cleanings, fluoride treatments, and sealants. Basic restorative care services are also covered for children and adults. These services include fillings, crowns, and root canals.
For more complex procedures, such as dentures or bridges, coverage may be limited to certain groups of people, such as children or individuals with disabilities.
Services Covered Under Dental Plans
Preventive Care
- Regular checkups
- Cleanings
- Fluoride treatments
- Sealants
Basic Restorative Care
- Fillings
- Crowns
- Root canals
Major Restorative Care
- Dentures
- Bridges
Orthodontic Care
- Braces
- Retainers
Oral Surgery
- Extractions
- Implants
- Jaw surgery
Who is Eligible for Dental Coverage Under Medicaid?
To be eligible for dental coverage under Medicaid, you must meet certain criteria. These criteria vary from state to state, but generally, you must be a low-income individual or family, or you must have a disability. In North Carolina, you can apply for Medicaid online or by calling the Division of Medical Assistance at 1-888-245-0073.
How to Find a Dentist Who Accepts Medicaid
Once you are approved for Medicaid, you can start looking for a dentist who accepts Medicaid. You can find a list of dentists who accept Medicaid in your area by visiting the North Carolina Medicaid website. You can also call the Division of Medical Assistance at 1-888-245-0073 for assistance.
North Carolina Medicaid Dental Coverage
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. In North Carolina, Medicaid covers a range of dental services for eligible recipients. However, the specific services covered may vary depending on the recipient’s age and other factors.
How to Apply for Medicaid Dental Coverage in North Carolina
- Contact your local Department of Social Services office to request an application form.
- Fill out the application form and provide all required documentation, such as proof of income, proof of identity, and proof of residency.
- Submit the application form to your local Department of Social Services office.
- Once your application is processed, you will be notified if you are eligible for Medicaid dental coverage.
Medicaid Adult Dental Services
- Oral exams
- X-rays
- Cleanings
- Fillings
- Extractions
- Root canals
- Dentures
- Dental emergencies
Medicaid Children’s Dental Services
- All of the services listed above
- Orthodontics
- Braces
- Dental sealants
- Fluoride treatments
Who is Eligible for Medicaid Dental Coverage in North Carolina?
Category | Eligibility Criteria |
---|---|
Pregnant Women | Must be pregnant and have a low income |
Children Under 19 | Must be under the age of 19 and have a low income |
Adults with Disabilities | Must have a disability and have a low income |
Seniors | Must be 65 or older and have a low income |
If you are unsure if you are eligible for Medicaid dental coverage, you can contact your local Department of Social Services office for more information.
Medicaid Dental Coverage in North Carolina
Medicaid is a health insurance program that provides comprehensive medical and dental coverage to eligible individuals and families with low incomes. In North Carolina, Medicaid covers a wide range of dental services, including preventive care, restorative care, and emergency dental care.
Covered Dental Services
- Routine cleanings and checkups
- X-rays
- Fluoride treatments
- Fillings
- Root canals
- Crowns
- Bridges
- Dentures
- Emergency dental care
Who is Eligible for Medicaid Dental Coverage?
To be eligible for Medicaid dental coverage in North Carolina, you must meet certain income and asset requirements. You must also be a citizen of the United States or a qualified immigrant. Children under the age of 19, pregnant women, and adults with disabilities may also be eligible for Medicaid dental coverage.
How to Apply for Medicaid Dental Coverage
To apply for Medicaid dental coverage in North Carolina, you can visit the North Carolina Medicaid website or call the Medicaid helpline at 1-800-367-4530. You will need to provide information about your income, assets, and household size. You will also need to provide proof of your citizenship or immigration status.
Finding a Medicaid Dentist
Once you have been approved for Medicaid dental coverage, you will need to find a dentist who accepts Medicaid patients. You can search for a Medicaid dentist online or by calling the Medicaid helpline. You can also ask your friends, family, or doctor for recommendations.
Tips for Finding a Medicaid Dentist in North Carolina
- Call your local Medicaid office and ask for a list of dentists who accept Medicaid patients.
- Search online for Medicaid dentists in your area.
- Ask your friends, family, or doctor for recommendations.
- Once you have found a few dentists, call their offices and ask if they are accepting new Medicaid patients.
- Schedule an appointment with the dentist of your choice.
What to Expect at Your Dental Appointment
When you go to your dental appointment, you will be asked to fill out a medical history form. The dentist will then examine your teeth and gums and ask you about any dental problems you are experiencing. The dentist will then develop a treatment plan based on your needs. Medicaid will cover the cost of all medically necessary dental care.
Medicaid Dental Coverage in North Carolina: A Summary
Service | Covered |
---|---|
Routine cleanings and checkups | Yes |
X-rays | Yes |
Fluoride treatments | Yes |
Fillings | Yes |
Root canals | Yes |
Crowns | Yes |
Bridges | Yes |
Dentures | Yes |
Emergency dental care | Yes |
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